About this page. This page summarises a Domestic Homicide Review published in the Home Office DHR Library. The full report is available at the source link below. Victim and perpetrator names are not included in extracted summaries on this page.

Source · Domestic Homicide Review

Somerset review

CSP: Somerset Published: October 2025 Year of death: 2021 Extracted: 13 recs

Statutory domestic homicide review under section 9 of the Domestic Violence, Crime and Victims Act 2004. Source: Home Office DHR Library.

View full report (PDF) ↗ Source: Home Office DHR Library

Summary

The review identifies systemic invisibility and inadequate support for the victim, a male carer experiencing domestic abuse, alongside missed opportunities for multi-agency collaboration, comprehensive risk assessment, and information sharing across health and social care agencies.

Extracted recommendations

13 recommendations pulled from the report

#	Recommendation	Addressed to
1	Domestic abuse routine enquiry within mental health contacts Awareness raising regarding DA routine enquiry (DARE) for clients/carers presenting with suicidal ideation.	Somerset NHS Foundation Trust
1	SCC to review the guidance regarding MSP	Somerset County Council Adult Social Care
1	SSP to gain assurance that health agencies have robust systems in place to identify / record known carers, and have pathways in place to ensure timely referral for carers assessment and support with recognition that when circumstances change re-referrals and/or reassessment may be required.	Safer Somerset Partnership
2	Consideration of carers assessments for carers of relatives with mental ill health Memo to MH team managers and via MH teams’ supervision, to remind them of a carers right to assessment under the Care Act 2014. Plus information to be disseminated via Staff news article for wider Trust information	Somerset NHS Foundation Trust
2	SCC to review internal decision-making guidance,	Somerset County Council Adult Social Care
2	SSP to take steps to ensure that professionals completing DA assessments across the health and social care system understand importance of the 9 protected characteristics in relation to domestic abuse victims and barriers to disclosure	Safer Somerset Partnership
3	Mental health teams to be aware of out of hours escalation regarding domestic abuse concerns Re-circulation of safeguarding adult and domestic abuse pathways	Somerset NHS Foundation Trust
3	SCC to incorporate learning from review into training and CPD opportunities for staff	Somerset County Council Adult Social Care
3	SSP to ensure that. • There is training carried out, in relation to the sharing of information, throughout the Partnership. • That all agencies have processes in place for domestic abuse referral and/or DA Policies.	Safer Somerset Partnership
4	Mental health teams to have domestic abuse information available to pass on to clients / carers. Recirculate web details for Somerset Survivors and other DA support services	Somerset NHS Foundation Trust
4	SCC to review the domestic abuse training available to ASC to ensure it meets the needs of the organisation.	Somerset County Council Adult Social Care
4	SCC Public Health to review its activities and provide agency training aimed at better recognising male victims of domestic abuse. In addition, more support to be provided to encourage male victims of domestic abuse to come forward. Support services and advice lines should be advertised more widely.	Somerset County Council Public Health
5	SSP to ensure that all agencies with safeguarding responsibilities have. • An Outcomes Framework in place, • A process for measuring its success, in terms of volume of engagement. Each agency should provide a report discussing both evidence of good practice and areas for development.	Safer Somerset Partnership
Recommendations extracted from the published report. Source: Home Office DHR Library. View full report ↗